Roosevelt Lee K, Pietzmeier Sarah, Reed Robinson
School of Nursing, University of Michigan, Ann Arbor, Michigan (Drs Roosevelt and Pietzmeier); and Swedish Midwifery, Seattle, Washington (Mr Reed).
J Perinat Neonatal Nurs. 2021;35(2):142-149. doi: 10.1097/JPN.0000000000000560.
Transgender and nonbinary people experience high rates of discrimination and stigma in healthcare settings, which have a deleterious effect on their health and well-being. While the preventative healthcare needs of transgender and gender nonbinary people are slowly starting to make their way into nursing curriculum, there is still a very little guidance on how to appropriately and respectfully care for this population during one of the most vulnerable interactions with the healthcare system, the perinatal period. Without exposure or education, nurses are challenged on how to provide compassionate and culturally competent care to transgender and nonbinary people. The focus of this review is to provide guidance to nurses caring for transgender and gender nonbinary people during the perinatal period. Terminology and respectful language, a discussion around the decision to parent, affirming approaches to physical examination, and care during pregnancy and the postpartum period are all discussed. By increasing the number of nurses who are trained to deliver high-quality and affirming care to transgender and nonbinary patients, challenging health inequities associated with provider discrimination can be mitigated.
跨性别者和非二元性别者在医疗环境中遭受着高比例的歧视和污名化，这对他们的健康和幸福产生了有害影响。虽然跨性别者和非二元性别者的预防性医疗需求正逐渐开始纳入护理课程，但在与医疗系统最脆弱的互动之一——围产期，关于如何恰当地、尊重地照顾这一群体，仍然几乎没有指导。如果没有接触或教育，护士们在如何为跨性别者和非二元性别者提供富有同情心且具备文化胜任力的护理方面面临挑战。本综述的重点是为在围产期照顾跨性别者和非二元性别者的护士提供指导。文中讨论了术语和尊重性语言、围绕生育决定的探讨、对体格检查的肯定性方法以及孕期和产后护理等内容。通过增加接受培训以向跨性别和非二元性别患者提供高质量且肯定性护理的护士数量，可以减轻与医疗服务提供者歧视相关的健康不平等问题。
